Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $509.19 / $8,965.00	Facility		$100.00	$509.19	$8,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $171.53 / $240.36	Professional		$69.89	$171.53	$240.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Professional		$61.33	$61.33	$61.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,223.09 / $1,426.62 / $2,500.00	Facility		$1,223.09	$1,426.62	$2,500.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $161.78 / $583.29	Professional		$78.48	$161.78	$583.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.36 / $2,000.36 / $2,070.38	Facility		$2,000.36	$2,000.36	$2,070.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.17 / $220.30 / $909.06	Professional		$84.17	$220.30	$909.06
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $325.08 / $1,053.35	Professional		$78.31	$325.08	$1,053.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,624.00 / $3,624.00 / $8,035.00	Facility		$3,624.00	$3,624.00	$8,035.00
United Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $404.10 / $853.63	Professional		$262.14	$404.10	$853.63
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $111.62 / $294.29	Professional		$56.52	$111.62	$294.29